Online Membership Application

Welcome and thank you for your interest in the NZAMM.
Membership of the NZAMM is only open to New Zealand registered medical practitioners.

Membership will give you access to:
- Australasian Musculoskeletal Journal free one issue per year ( currently moving to electronic)
- CME at reduced prices within NZAMM and at selected AFMM retreats
- Peer Support for your practice in musculoskeletal medicine
- An online business listing through the NZAMM website directory.
Please fill in this Membership Application and we’ll get back in touch with you confirming your application.
MCNZ Number
MBCHB year
Name
First Last
Date of Birth
Date Format: MM slash DD slash YYYY
Ethnicity
Gender
- Male
- Female
- Other/ rather not say
Email
Professional Qualifications
Include issuing authority and year for each one
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CV
Please upload a copy of your cv with a current photo
Referees
Please supply the names and contact details of two referees, one of who should be a financial member of the NZAMM
Referee's Name (1)
Referee's contact number
Referee's Name (2)
Referee's contact number
I agree that I have the read rules of the Association*
- Yes
I agree that I have read the Constitution and Rules*
- Yes
Constitution and Rules
I agree that I have the read the Privacy Statement*
- Yes

Referees